Social Determinants of Health Funding
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Questions and Answers

Braiding funds allows community organizations to maintain the specific program identity of each funding source.

True (A)

Blending funds requires maintaining program-specific identities for each funding source.

False (B)

Federal grants are generally easy to apply for, with minimal resource requirements.

False (B)

Medicaid section 1115 demonstrations can be used to approve experimental projects that promote the objectives of the Medicaid program.

<p>True (A)</p> Signup and view all the answers

HRSN services in Medicaid waivers are only available in three states.

<p>False (B)</p> Signup and view all the answers

Providing medically tailored meals can often be financed through specific health program grants.

<p>False (B)</p> Signup and view all the answers

The Administration prioritizes ensuring funding can be used flexibly for addressing social determinants of health.

<p>True (A)</p> Signup and view all the answers

Complex funding rules make it easy for community organizations to maximize their impact.

<p>False (B)</p> Signup and view all the answers

Social determinants of health include only economic factors such as income.

<p>False (B)</p> Signup and view all the answers

Food insecurity is linked to an increased risk of chronic illnesses.

<p>True (A)</p> Signup and view all the answers

Lower levels of education are correlated with longer life expectancy.

<p>False (B)</p> Signup and view all the answers

The Biden-Harris Administration has no plans to address social determinants of health.

<p>False (B)</p> Signup and view all the answers

Housing stability can positively impact health outcomes for individuals with HIV.

<p>True (A)</p> Signup and view all the answers

Environmental factors, such as exposure to pollutants, do not affect health.

<p>False (B)</p> Signup and view all the answers

Disparities in health outcomes can be influenced by various factors including geography and race.

<p>True (A)</p> Signup and view all the answers

States use demonstrations to provide only long-term nutritional supports.

<p>False (B)</p> Signup and view all the answers

Access to health care is not considered a social determinant of health.

<p>False (B)</p> Signup and view all the answers

The demonstrations aim to duplicate existing funding in social need areas.

<p>False (B)</p> Signup and view all the answers

Maintaining individual privacy is not a significant issue when sharing social data.

<p>False (B)</p> Signup and view all the answers

The United States Core Data for Interoperability (USCDI) is both a national data standard and policy construct that includes SDOH.

<p>True (A)</p> Signup and view all the answers

CMS has recently prioritized new flexibilities for Medicaid and CHIP funding to address social determinants of health.

<p>True (A)</p> Signup and view all the answers

The Biden-Harris Administration is not involved in implementing changes to Medicaid funding for social needs.

<p>False (B)</p> Signup and view all the answers

A centralized federal data working group is being established to enhance SDOH data collection.

<p>True (A)</p> Signup and view all the answers

Investments in infrastructure and national data standards are expected to decrease the quality of referrals between social care and health care organizations.

<p>False (B)</p> Signup and view all the answers

In November 2023, CMS released the Medicaid and CHIP HRSN Framework.

<p>True (A)</p> Signup and view all the answers

The overall goal of the SDOH Data Working Group is to provide a fragmented approach to SDOH data management.

<p>False (B)</p> Signup and view all the answers

The emphasis of the demonstrations is solely on elderly recipients of Medicaid.

<p>False (B)</p> Signup and view all the answers

Addressing Health-Related Social Needs (HRSNs) does not require the integration of data management strategies.

<p>False (B)</p> Signup and view all the answers

The guidance issued by CMS in January 2021 helps states design services addressing housing-related needs.

<p>True (A)</p> Signup and view all the answers

Federal support for open industry standards will drive alignment across government, industry, and communities.

<p>True (A)</p> Signup and view all the answers

Medically tailored meals are not a part of the programs designed to assist Medicaid enrollees.

<p>False (B)</p> Signup and view all the answers

Improved data quality has no impact on research, policy development, or implementation.

<p>False (B)</p> Signup and view all the answers

Social determinants of health (SDOH) have no impact on the health outcomes of Medicaid and CHIP enrollees.

<p>False (B)</p> Signup and view all the answers

ILOS can be offered as alternatives to existing State plan covered services in Medicaid managed care programs.

<p>True (A)</p> Signup and view all the answers

The concept of medically tailored meals is aimed at addressing social determinants of health.

<p>True (A)</p> Signup and view all the answers

Providers will not receive additional payment for assessing social needs under Medicare.

<p>False (B)</p> Signup and view all the answers

The proposed Medicare codes for SDOH risk assessments were finalized in January 2023.

<p>False (B)</p> Signup and view all the answers

The implementation of ILOS in Medicaid managed care could both improve access to community-based services and reduce the need for acute hospitalization.

<p>True (A)</p> Signup and view all the answers

Clinician screening for social needs is not considered important in the management of patient care.

<p>False (B)</p> Signup and view all the answers

The 2023 guidance encourages states to focus solely on economic factors affecting health outcomes.

<p>False (B)</p> Signup and view all the answers

Backbone organizations primarily focus on individual service delivery rather than community coordination.

<p>False (B)</p> Signup and view all the answers

Community care hubs are a specific type of backbone organization that centralizes administrative functions.

<p>True (A)</p> Signup and view all the answers

Backbone organizations encounter no challenges regarding data collection and sharing.

<p>False (B)</p> Signup and view all the answers

The federal government plans to provide training and technical assistance to community care hubs through a National Learning Community.

<p>True (A)</p> Signup and view all the answers

Only public funding sources are utilized by backbone organizations to support their operations.

<p>False (B)</p> Signup and view all the answers

Community-based workforce development is an essential function of backbone organizations.

<p>True (A)</p> Signup and view all the answers

Backbone organizations lack the capacity to overcome challenges with supportive policies and governance structures.

<p>False (B)</p> Signup and view all the answers

Backbone organizations are irrelevant to the health and well-being of individuals in the community.

<p>False (B)</p> Signup and view all the answers

Flashcards

Social Determinants of Health (SDOH)

Conditions in the environment where people live, learn, and play that affect health outcomes and quality of life.

Financial Strain

Difficulty affording basic necessities due to limited income.

Housing Instability

Lack of stable housing, often lacking quality.

Food Insecurity

Limited or uncertain access to enough food for an active, healthy life.

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Increased Health Risks

Higher chances of developing chronic illnesses and poor health outcomes due to unmet social needs.

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Chronic Illness

Long-lasting health conditions that are difficult to manage.

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Environmental Injustice

Unequal exposure to harmful pollutants and hazardous waste, impacting health based on location or other factors.

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Health Disparities

Different health outcomes between groups based on factors like geography, race, income.

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HRSN and SDOH Data Sharing

Capturing and sharing data about health-related social needs (HRSNs) and social determinants of health (SDOH) using standardized formats for better care coordination, quality improvement, and addressing social needs.

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USCDI

United States Core Data for Interoperability - a national data standard and policy framework, including SDOH, to support data sharing and integration across health and social care.

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Data Interoperability

The ability of different systems to communicate and share data seamlessly, enabling better care coordination and analysis.

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SDOH Data Working Group

A federal group responsible for coordinating and improving SDOH data collection and management across governmental agencies.

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Centralized Federal Data Working Group

A group established to coordinate federal SDOH data collection and improve the use of standards such as USCDI in government programs.

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Standardized Data Format

A specific format for data to ensure it is consistent and readable by different systems and promotes better use in healthcare and social care.

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Privacy Concerns

Protecting sensitive personal information about social circumstances and status, especially about unhoused populations.

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Improved Data Quality

Enhanced accuracy and completeness of data, leading to better service delivery, research findings, and policy development and implementation.

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Braiding funds

Combining funds from multiple sources to support a common goal, while maintaining separate program identities for each source.

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Blending funds

Mixing funds from multiple sources to finance a single activity, without maintaining separate program identities.

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Funding source silos

Independent funding streams that make it difficult to coordinate funding for comprehensive health programs.

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HRSNs (Health-related social needs)

Social needs (housing, food, etc.) impacting health outcomes. For example, housing issues may correlate with asthma, diabetes, etc.

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Medicaid Section 1115 demonstrations

Federal program allowing flexibility in using Medicaid funds to address health-related social needs.

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Federal grants

Funding provided by the federal government that can be used to support programs and services.

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CBOs (Community-based organizations)

Groups operating within a community to provide health or social services to at-risk populations.

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Limited resources

Limited financial, human, or other resource to provide healthcare services.

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Value-Based Care

A health care approach that focuses on improving patient outcomes and reducing costs by linking payments to quality care.

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Medicaid Managed Care

A system where Medicaid beneficiaries receive their health care services through private insurance companies, contracted by the state.

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In Lieu of Services (ILOS)

Alternative benefits offered within Medicaid managed care programs that address health-related social needs instead of traditional covered services.

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Medically Tailored Meals

A specific kind of ILOS offered to Medicaid beneficiaries, providing nutritious meals tailored to their health conditions.

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Food Deserts

Areas with limited access to affordable and nutritious food.

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Home and Community-Based Services

Services provided to individuals in their homes or communities, helping them avoid unnecessary institutional care.

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SDOH Risk Assessment

A process to identify and evaluate the social factors affecting a patient's health.

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HCPCS Code G0136

A specific billing code used by Medicare for social determinants of health risk assessments.

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Medicaid Flexibility

The ability for Medicaid programs to use funds for addressing Social Determinants of Health (SDOH) outside traditional medical care.

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Medicaid & CHIP HRSN Framework

A set of guidelines for states to develop programs addressing housing and food insecurity for Medicaid and CHIP enrollees.

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Homeless Youth Housing Assistance

Medicaid programs to help young people without stable housing find and secure a place to live.

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Siloed Funding Streams

Separate funding sources for different social needs, often making it difficult to coordinate care.

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Evidence-based Services

Programs or interventions proven effective by research for addressing specific social needs.

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Medicaid Funding for SDOH

Using Medicaid funds to address social factors that influence health, not just medical care.

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Transitioning from Institutions

People moving from places like prisons or hospitals and needing support to reintegrate into the community.

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Backbone Organizations

Entities that manage community partnerships across various sectors (health care, social services, etc.) to improve individual and community well-being.

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Community Care Hub

A type of backbone organization that centralizes administrative functions and operational infrastructure for a network of community-based organizations (CBOs).

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CBOs

Community-based organizations that provide services to individuals and communities.

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Challenges Faced by Backbone Organizations

Challenges such as partnership development, sustainability, data collection and sharing, and information technology interoperability.

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National Learning Community

A program to provide training and technical assistance to community care hubs.

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What is the role of the federal government in supporting backbone organizations?

The federal government aims to expand a network of backbone organizations through initiatives like the National Learning Community, encouraging state and community involvement.

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Why are backbone organizations important?

They help to improve community level coordination and ensure efficient use of resources to better serve communities.

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How can backbone organizations be supported?

Supportive policies, technical assistance, community governance structures, and financing streams are crucial to overcome challenges and ensure effective service delivery.

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Study Notes

The U.S. Playbook to Address Social Determinants of Health

  • This document details a strategy to improve the health and well-being of Americans
  • Social determinants of health (SDOH) are conditions in the environments where people are born, live, learn, work, play, worship, and age
  • SDOH significantly impact health outcomes and quality of life
  • Significant disparities exist in health outcomes based on geography, race/ethnicity, age, income, disability, etc.
  • The Biden-Harris Administration is committed to improving the health and well-being of all Americans
  • The organizational separation of healthcare from social services complicates efforts to address health needs
  • The Playbook outlines actions to address SDOH in three pillars:
    • Expand data gathering and sharing
    • Support flexible funding to address social needs
    • Support backbone organizations

Pillar 1: Expand Data Gathering and Sharing

  • High-quality data management is essential for addressing social needs and research
  • Routine screening for health-related social needs is often not conducted, and data, when collected, is not standardized
  • Data sharing and interoperability are key priorities
  • Agencies are improving data collection and sharing to facilitate collaboration and innovation
  • The collection of SDOH data for health research is being expanded

Pillar 2: Support Flexible Funding for Social Needs

  • Many health and social service delivery organizations are funded by multiple sources (local, state, federal)
  • Existing funding may not target the drivers of health outcomes
  • Federal flexibility is needed to support efforts addressing SDOH
  • Guidance is issued to better allocate funds for SDOH needs in areas such as state Medicaid programs.
  • Improvements to data collection, coordination, and funding are detailed.
  • Implementation of actions to increase access to resources.
  • Flexible funding to support efforts addressing SDOH is part of the strategy.

Pillar 3: Support Backbone Organizations

  • Backbone organizations play a crucial role in community-based partnerships (healthcare, housing, social services, etc.)
  • They face challenges in funding, technical capacity, privacy, and data availability
  • The Playbook details initiatives to support the development of community backbone organizations and infrastructure connecting health services with CBOs
  • The Biden-Harris Administration is advancing initiatives to strengthen their infrastructure (resources, data, security training)
  • Community hubs (as a type of backbone organization) will be supported for better data security, training, and collaborative efforts with multiple agencies

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Related Documents

US Playbook to Address Social Determinants of Health PDF

Description

This quiz explores the complexities of funding in community health organizations, focusing on how braiding and blending funds can impact program identity and flexibility. It also examines the correlation between social determinants of health and funding resources, particularly in relation to Medicaid and health program grants.

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